2023-195Ch ,.�- Here To Search Our Public Records Database Before Submitting Request
Forms Can Be Submitted via Email to lodell@townofwappingemy.gov or
Imcconoto"e@townofwappingemy.gov or in person/via mail to 20 Middlebusb Rd Wappingers palls, NY
12590
FOR INTERNAL USE ONLY
Received by Joseph P. Paoloni 11
Lynn O'Dell ❑
Lori 1vlcConologue L
Date Received: / /
FOIL Ser. #: Q `2 --
DEPARTMENT:
ASSESSOR
❑
ACCOUNTING
❑
CODE ENFORCEMENT''
PLANNING
❑
ZONING
❑'
FIRE INSPECTOR
❑
HIGHWAY
❑
RECEIVER OF TAXES
❑
RECREATION
❑
SUPERVISOR
❑
TOWN CLERK
❑
WATERJSEWER
DOG CONTROL OFFICER
TOWN ENGINEER
❑
TOWN ATTORNEY
r r
-lain V
1
FOR DEPARTMENT USE ONLY
J.
Date Received by Dept /
Department Head approval:
Date Applicant Contacted:
Date FOI� fulfilled a denied; /,/ °
t
Closed by:u<;P
Date:
Notes;
Amount Due: // Pages for a total of $
Nantc: ,, ' (❑'check here if you are
Address: o A 5aD requesting that the records
c c� a�� � n e�.�a �� 5R ( s be mailed to this address.
Agency or firm: l jR 0
Telephone #: ( x-15)%-5_ FAX #:. ( -
Email address: 6- - 'y��e ,
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SPECIFIC DESCRIPTION OF RECORD:
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FORMAT OF RECORD (if available)
I request to be notified when I can come to inspect the record(s) described above
I request copies of the records described above and agree to pay the cost of such records in
accordance with the fee schedule on the back of this application
I request that the records be sent via e-mail to the address listed above
I request that the records be faxed to the number listed above
S�c
KATHERINE PELACCIO
Town of Wappinger
20 Middlebush Rd.
Wappingers Fails, NY 12590
(845) 297-6256
FEES PAID
Reference:
6157-01-251816-0000
Cheng, Kan Chit
2470-2472 Route 9D
06/27/2023
Date Fee Check No. Receipt No. PayType . Amount
06/27/2023 COPIES 2023-01164 CREDIT $2.75
CARD
This is a receipt for payment of fees. This is not a building permit.
Date Printed: 06/27/2023
Town Of NdPpin+7e1`
Building
20 riddlebfUbh Rd
14api)in9er5 Falk, NY. 12690
Fhane: dq5 29'2-qi
06/27M 12:15
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Nerchan[ ID: 2gopo
f kituce II: 091
Card Type VISA
Auth. C&.: 49706$
Acct. Ha: « ■xx x , «xFi790
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liMAZl'Sr 8111THE
1 agree to pay the above total amount
according to the card issuer' agreement
(Merchant a5!'e—lit if credit voucher)
lde aMreclote vour• Payment!
Thank You Veru Much!